Health Capital Topics 2017

This book is a compilation of excerpts from articles originally published in the newsletter, Health Capital Topics, which have been organized by topic in relation to the Four Pillars concept.

Health Capital Topics is a monthly e-newsletter, which has been published by Health Capital Consultants since 2007, featuring timely topics related to the regulatory, reimbursement, competition, and technology aspects of the U.S. healthcare delivery environment. It is sent monthly to over 12,000 healthcare executives, physicians, attorneys, accountants, and other professionals in the healthcare industry. Copies of past Health Capital Topics newsletters, as well as special alert issues, can be found at www.healthcapital.com.

Some of the articles represent a retrospective look at a topic as noted by the date of original publication that appears following the article title. The intent of this book is to serve as an (admittedly abridged) brief annual primer and reference source for these issues. In the months and years ahead, we will strive to continue staying on top of key issues in the healthcare industry and presenting them in the monthly e-publication issues of Health Capital Topics and special alert issues.

Table of Contents

SECTION I.   REIMBURSEMENT TOPICS

Spiraling Drug Costs Two-Part Series

Value-Based Payments Under MACRA Two Part Series

CMS Issues Final Rule Implementing MACRA

New Cardiac and Orthopedic Payment Models

Two Letters to Trump from Healthcare Leaders – Continue Focus on Value-Based Payment

Percent Annual Increase Triples for C-Suite Executive Pay

Now You See It, Now You Don't: Bundled Payment Programs Cancelled

SECTION II.   REGULATORY TOPICS

Tort Reform Three-Part Series

Opioid Epidemic Three-Part Series

Employer Adoption of Private Exchanges Lower than Projected

Telehealth Coverage Expands under Next Generation ACO Model

Rationale Against Physician-Owned Hospitals Receives Further Scrutiny

Wide-Ranging 21st Century Cures Act Signed into Law

OIG Releases 2017 Work Plan

Something for Everyone - 2017 OIG Work Plan Update

S-Corporation Valuation Debate - The Impact of Cecil v. Commissioner

President Trump Issues Executive Order on ACA

Trump Executive Orders - Federal Agencies Begin Implementation

House Votes to Repeal & Replace Obamacare

Application of False Claims Act Limited By First Circuit Court of Appeals

Courts Examine Use of Statistical Sampling in False Claims Act Cases

Free Parking for Physicians? Federal Court

Dismisses Whistleblower Suit

U.S. Circuits Split on False Claims Act Issues

FTC Halts Merger of Chicago Health Systems

Telemedicine: State Legislation Update

ACO Models - Studies Examine Sustainability

Obamacare Repeal and Replace – In the Heat of the Night

SECTION III.   COMPETITION TOPICS

The 2016 Election and the ACA Two-Part Series

Aetna-Humana and Anthem-Cigna Mergers Blocked by D.C. Federal District Court

Valuing Healthcare Market Entrance Barriers

Decision Tree Analysis - Valuing Physician Non-Compete Clauses

SECTION IV.   TECHNOLOGY TOPICS

Artificial Intelligence in Healthcare Four-Part Series

Tech Giants Target Healthcare AI

SECTION V. HEALTHCARE VALUATION ARTICLES

Valuation of Compensation for Healthcare Services Four-Part Series

SECTION VI.  ABOUT HEALTH CAPITAL CONSULTANTS

Firm Background

HCC Leadership